Dr. Harold Reed Blog

Category Archives: Genital warts

Adult cosmetic circumcision | Dr. Reed | Miami

While Dr. Reed has performed about 8000 adult cosmetic circumcisions, I do like to reach out to reputable web-sites for concurrence of opinion.  As expressed by CNN with focus more on adults…:

Adult circumcision is not uncommon, though it’s also not something a doctor will advise unless a man is experiencing certain health problems, such as balanoposthitis, inflammation of the head of the penis and overlying foreskin, or phimosis, difficulty retracting the foreskin. Both problems are seen more commonly in diabetics, but can occur in any uncircumcised man. They are caused by chronic irritation and scarring and can usually be prevented with careful cleaning beneath the foreskin.

As a first measure, a urologist will likely prescribe an anti-fungal and anti-inflammatory ointment, which may help clear up the problem — there is often an associated yeast infection, which thrives in the warm, moist environment created beneath the foreskin. Unfortunately, these conditions often recur, and when they do, a circumcision is advisable.

Other reasons for an adult circumcision

In addition to balanoposthitis and phimosis, several other conditions can prompt a man to become circumcised:

  • Paraphimosis is the inability to position the foreskin back over the head of the penis after it has been retracted; this is usually associated with phimosis and can be a surgical emergency since blood flow to the head of the penis can become impaired.
    Genital warts (condylomata) can become quite large and unresponsive to topical medications, and if located on the foreskin, may be best treated with circumcision.
    Penile cancer, if caught early enough, may be treated with circumcision (interestingly, penile cancer virtually never occurs in circumcised men).Finally, many men ultimately request circumcision for cosmetic reasons only.

What happens during an adult circumcision

Undergoing a circumcision as an adult can be intimidating, but it is generally safe. The procedure is usually performed under general anesthesia, but it can also be performed under local. Healing can potentially be complicated by nocturnal erections, which put pressure on the incision and can cause bleeding (this is usually self-limiting, but can create swelling and bruising). Diabetics have a greater risk of postoperative infection, which is generally a low risk after this surgery.

Please note in our practice 99+% of our circumcisions are done under local.anesthesia.   Aside from reduction of cost and risks of general anesthesia, the patient can verify the operation is proceeding according to his selection of circumcision style.

Effects of a circumcision on sexual stimulation

A circumcision can affect penile sensitivity and sexual stimulation. The most sensitive area of the penile skin is the frenulum, the area just below the head of the penis on its underside. Even with efforts to preserve as much of this skin as possible, some men notice less sexual satisfaction after circumcision. All that having been said, urologists successfully perform many medically necessary — and cosmeticcircumcisions in men every year. Because problems are often seen in adults, some urologists are admittedly biased toward neonatal circumcision.

Circumcision risks

There are indeed potential risks and benefits to circumcision. Risks include bleeding, infection, wound separation, scarring, asymmetrical or less than good cosmetic result, In younger age groups. adhesions or skin bridges and very infrequent meatal stenosis (narrowing of the penile opening). Some potential benefits include simpler hygiene; decreased risk of urinary-tract infection; a less-significantly decreased risk of penile carcinoma; and potential protection against sexually transmitted diseases or STDs (including HIV).  In most cases, proper hygiene can allow most uncircumcised boys to grow into adulthood without problems. For those who develop problems, adult circumcision is a safe and effective treatment option.

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Paraphimosis can lead to distal strangulation and is a urological emergency

The Reed Centre for Cosmetic Circumcisions – Miami
1-305-865-2000